Provider Demographics
NPI:1629671524
Name:CITADEL HOME CARE
Entity Type:Organization
Organization Name:CITADEL HOME CARE
Other - Org Name:CITADEL COMPANIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:TAGLIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-347-7452
Mailing Address - Street 1:21545 N ANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:KILDEER
Mailing Address - State:IL
Mailing Address - Zip Code:60047-8607
Mailing Address - Country:US
Mailing Address - Phone:847-847-1680
Mailing Address - Fax:
Practice Address - Street 1:21545 N ANDOVER RD
Practice Address - Street 2:
Practice Address - City:KILDEER
Practice Address - State:IL
Practice Address - Zip Code:60047-8607
Practice Address - Country:US
Practice Address - Phone:847-847-1680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITADEL COMPANIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-21
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care